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Telehealth Delivery of Function-Based Behavioral Treatment for Problem Behaviors Exhibited by Boys with Fragile X Syndrome / K. D. MONLUX in Journal of Autism and Developmental Disorders, 49-6 (June 2019)
[article]
Titre : Telehealth Delivery of Function-Based Behavioral Treatment for Problem Behaviors Exhibited by Boys with Fragile X Syndrome Type de document : Texte imprimé et/ou numérique Auteurs : K. D. MONLUX, Auteur ; J. S. POLLARD, Auteur ; A. Y. BUJANDA RODRIGUEZ, Auteur ; S. S. HALL, Auteur Article en page(s) : p.2461-2475 Langues : Anglais (eng) Mots-clés : Behavioral treatment Fragile X syndrome Functional analysis Problem behavior Telehealth Index. décimale : PER Périodiques Résumé : Telehealth is increasingly being employed to extend the reach of behavior analytic interventions to families of children with developmental disorders who exhibit problem behaviors. In this preliminary study, we examined whether function-based behavior analytic interventions could be delivered via telehealth over 12 weeks to decrease problem behaviors exhibited by ten boys with fragile X syndrome (FXS), aged 3- to 10-years. Results showed that for eight children who completed treatment, rates of problem behavior decreased from baseline by 78.8-95.3%. Parent procedural integrity and acceptability ratings remained high throughout the treatment. These data indicate that implementing function-based behavioral treatment via telehealth can be a feasible, acceptable and potentially cost-effective approach for decreasing problem behaviors exhibited by boys with FXS. En ligne : https://dx.doi.org/10.1007/s10803-019-03963-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400
in Journal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2461-2475[article] Telehealth Delivery of Function-Based Behavioral Treatment for Problem Behaviors Exhibited by Boys with Fragile X Syndrome [Texte imprimé et/ou numérique] / K. D. MONLUX, Auteur ; J. S. POLLARD, Auteur ; A. Y. BUJANDA RODRIGUEZ, Auteur ; S. S. HALL, Auteur . - p.2461-2475.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2461-2475
Mots-clés : Behavioral treatment Fragile X syndrome Functional analysis Problem behavior Telehealth Index. décimale : PER Périodiques Résumé : Telehealth is increasingly being employed to extend the reach of behavior analytic interventions to families of children with developmental disorders who exhibit problem behaviors. In this preliminary study, we examined whether function-based behavior analytic interventions could be delivered via telehealth over 12 weeks to decrease problem behaviors exhibited by ten boys with fragile X syndrome (FXS), aged 3- to 10-years. Results showed that for eight children who completed treatment, rates of problem behavior decreased from baseline by 78.8-95.3%. Parent procedural integrity and acceptability ratings remained high throughout the treatment. These data indicate that implementing function-based behavioral treatment via telehealth can be a feasible, acceptable and potentially cost-effective approach for decreasing problem behaviors exhibited by boys with FXS. En ligne : https://dx.doi.org/10.1007/s10803-019-03963-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400 Clinical Outcomes of Behavioral Treatments for Pica in Children with Developmental Disabilities / Nathan A. CALL in Journal of Autism and Developmental Disorders, 45-7 (July 2015)
[article]
Titre : Clinical Outcomes of Behavioral Treatments for Pica in Children with Developmental Disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Nathan A. CALL, Auteur ; Christina A. SIMMONS, Auteur ; Joanna E. LOMAS MEVERS, Auteur ; Jessica P. ALVAREZ, Auteur Année de publication : 2015 Article en page(s) : p.2105-2114 Langues : Anglais (eng) Mots-clés : Pica Behavioral treatment Behavior analysis Clinical outcomes Index. décimale : PER Périodiques Résumé : Pica is a potentially deadly form of self-injurious behavior most frequently exhibited by individuals with developmental and intellectual disabilities. Research indicates that pica can be decreased with behavioral interventions; however, the existing literature reflects treatment effects for small samples (n = 1–4) and the overall success of such treatments is not well-understood. This study quantified the overall effect size by examining treatment data from all patients seen for treatment of pica at an intensive day-treatment clinical setting (n = 11), irrespective of treatment success. Results demonstrate that behavioral interventions are highly effective treatments for pica, as determined by the large effect size for individual participants (i.e., NAP scores ? .70) and large overall treatment effect size (Cohen’s d = 1.80). En ligne : http://dx.doi.org/10.1007/s10803-015-2375-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261
in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.2105-2114[article] Clinical Outcomes of Behavioral Treatments for Pica in Children with Developmental Disabilities [Texte imprimé et/ou numérique] / Nathan A. CALL, Auteur ; Christina A. SIMMONS, Auteur ; Joanna E. LOMAS MEVERS, Auteur ; Jessica P. ALVAREZ, Auteur . - 2015 . - p.2105-2114.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.2105-2114
Mots-clés : Pica Behavioral treatment Behavior analysis Clinical outcomes Index. décimale : PER Périodiques Résumé : Pica is a potentially deadly form of self-injurious behavior most frequently exhibited by individuals with developmental and intellectual disabilities. Research indicates that pica can be decreased with behavioral interventions; however, the existing literature reflects treatment effects for small samples (n = 1–4) and the overall success of such treatments is not well-understood. This study quantified the overall effect size by examining treatment data from all patients seen for treatment of pica at an intensive day-treatment clinical setting (n = 11), irrespective of treatment success. Results demonstrate that behavioral interventions are highly effective treatments for pica, as determined by the large effect size for individual participants (i.e., NAP scores ? .70) and large overall treatment effect size (Cohen’s d = 1.80). En ligne : http://dx.doi.org/10.1007/s10803-015-2375-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261 Improving social gaze behavior in fragile X syndrome using a behavioral skills training approach: a proof of concept study / C. E. GANNON in Journal of Neurodevelopmental Disorders, 10-1 (December 2018)
[article]
Titre : Improving social gaze behavior in fragile X syndrome using a behavioral skills training approach: a proof of concept study Type de document : Texte imprimé et/ou numérique Auteurs : C. E. GANNON, Auteur ; T. C. BRITTON, Auteur ; E. H. WILKINSON, Auteur ; S. S. HALL, Auteur Année de publication : 2018 Article en page(s) : 25 p. Langues : Anglais (eng) Mots-clés : Behavioral treatment Fragile X syndrome Social gaze behavior Index. décimale : PER Périodiques Résumé : BACKGROUND: Individuals diagnosed with fragile X syndrome (FXS), the most common known inherited form of intellectual disability, commonly exhibit significant impairments in social gaze behavior during interactions with others. Although this behavior can restrict social development and limit educational opportunities, behavioral interventions designed to improve social gaze behavior have not been developed for this population. In this proof of concept (PoC) study, we examined whether administering a behavioral skills training package-discrete trial instruction (DTI) plus relaxation training-could increase social gaze duration in males with FXS. METHODS: As part of a larger clinical trial, 20 boys with FXS, aged 8 to 18 years, were randomized to receive DTI plus relaxation training administered at one of two prescribed doses over a 2-day period at our research center. Potential improvements in social gaze behavior were evaluated by direct observations conducted across trials during the training, and generalization effects were examined by administering a social challenge before and after the treatment. During the social challenge, social gaze behavior was recorded using an eye tracker and physiological arousal levels were simultaneously recorded by monitoring the child's heart rate. RESULTS: Levels of social gaze behavior increased significantly across blocks of training trials for six (60%) boys who received the high-dose behavioral treatment and for three (30%) boys who received the low-dose behavioral treatment. Boys who received the high-dose treatment also showed greater improvements in social gaze behavior during the social challenge compared to boys who received the low-dose treatment. There was no effect of the treatment on physiological arousal levels recorded on the heart rate monitor at either dose. CONCLUSIONS: These results suggest that appropriate social gaze behavior can be successfully taught to boys with FXS using a standardized behavioral skills training approach. Future studies will need to evaluate whether younger children with FXS might benefit from this treatment, and/or whether more naturalistic forms of behavioral skills training might be beneficial, before social gaze avoidance becomes established in the child's repertoire. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02616796 . Registered 30 November 2015. En ligne : http://dx.doi.org/10.1186/s11689-018-9243-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386
in Journal of Neurodevelopmental Disorders > 10-1 (December 2018) . - 25 p.[article] Improving social gaze behavior in fragile X syndrome using a behavioral skills training approach: a proof of concept study [Texte imprimé et/ou numérique] / C. E. GANNON, Auteur ; T. C. BRITTON, Auteur ; E. H. WILKINSON, Auteur ; S. S. HALL, Auteur . - 2018 . - 25 p.
Langues : Anglais (eng)
in Journal of Neurodevelopmental Disorders > 10-1 (December 2018) . - 25 p.
Mots-clés : Behavioral treatment Fragile X syndrome Social gaze behavior Index. décimale : PER Périodiques Résumé : BACKGROUND: Individuals diagnosed with fragile X syndrome (FXS), the most common known inherited form of intellectual disability, commonly exhibit significant impairments in social gaze behavior during interactions with others. Although this behavior can restrict social development and limit educational opportunities, behavioral interventions designed to improve social gaze behavior have not been developed for this population. In this proof of concept (PoC) study, we examined whether administering a behavioral skills training package-discrete trial instruction (DTI) plus relaxation training-could increase social gaze duration in males with FXS. METHODS: As part of a larger clinical trial, 20 boys with FXS, aged 8 to 18 years, were randomized to receive DTI plus relaxation training administered at one of two prescribed doses over a 2-day period at our research center. Potential improvements in social gaze behavior were evaluated by direct observations conducted across trials during the training, and generalization effects were examined by administering a social challenge before and after the treatment. During the social challenge, social gaze behavior was recorded using an eye tracker and physiological arousal levels were simultaneously recorded by monitoring the child's heart rate. RESULTS: Levels of social gaze behavior increased significantly across blocks of training trials for six (60%) boys who received the high-dose behavioral treatment and for three (30%) boys who received the low-dose behavioral treatment. Boys who received the high-dose treatment also showed greater improvements in social gaze behavior during the social challenge compared to boys who received the low-dose treatment. There was no effect of the treatment on physiological arousal levels recorded on the heart rate monitor at either dose. CONCLUSIONS: These results suggest that appropriate social gaze behavior can be successfully taught to boys with FXS using a standardized behavioral skills training approach. Future studies will need to evaluate whether younger children with FXS might benefit from this treatment, and/or whether more naturalistic forms of behavioral skills training might be beneficial, before social gaze avoidance becomes established in the child's repertoire. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02616796 . Registered 30 November 2015. En ligne : http://dx.doi.org/10.1186/s11689-018-9243-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386 Interventions for Repetitive Behavior in Young Children with Autism: A Survey of Behavioral Practices / T. J. RAULSTON in Journal of Autism and Developmental Disorders, 49-8 (August 2019)
[article]
Titre : Interventions for Repetitive Behavior in Young Children with Autism: A Survey of Behavioral Practices Type de document : Texte imprimé et/ou numérique Auteurs : T. J. RAULSTON, Auteur ; S. G. HANSEN, Auteur ; W. MACHALICEK, Auteur ; L. L. MCINTYRE, Auteur ; Amarie CARNETT, Auteur Article en page(s) : p.3047-3059 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Behavioral treatment Repetitive behavior Restricted interests Stereotypy Young children Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) display social-communication deficits and present with rigid and repetitive patterns of behavior and/or interests (RRBIs). Compared to interventions for social-communication skills, less attention has been given to RRBIs, especially with regard to interventions for young children. We surveyed 128 behavior analysts who implemented interventions for young children with ASD on their use of 16 practices and one assessment for the treatment of RRBIs. The majority of our sample perceived the practices to be effective in producing sustainable behavior change. Behavior analysts generally responded in the same way to items about reinforcement-based practices, punishment-based practices, and a group of commonly packaged antecedent and consequence-based package components. Implications and future directions are discussed. En ligne : http://dx.doi.org/10.1007/s10803-019-04023-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403
in Journal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3047-3059[article] Interventions for Repetitive Behavior in Young Children with Autism: A Survey of Behavioral Practices [Texte imprimé et/ou numérique] / T. J. RAULSTON, Auteur ; S. G. HANSEN, Auteur ; W. MACHALICEK, Auteur ; L. L. MCINTYRE, Auteur ; Amarie CARNETT, Auteur . - p.3047-3059.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3047-3059
Mots-clés : Autism spectrum disorder Behavioral treatment Repetitive behavior Restricted interests Stereotypy Young children Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) display social-communication deficits and present with rigid and repetitive patterns of behavior and/or interests (RRBIs). Compared to interventions for social-communication skills, less attention has been given to RRBIs, especially with regard to interventions for young children. We surveyed 128 behavior analysts who implemented interventions for young children with ASD on their use of 16 practices and one assessment for the treatment of RRBIs. The majority of our sample perceived the practices to be effective in producing sustainable behavior change. Behavior analysts generally responded in the same way to items about reinforcement-based practices, punishment-based practices, and a group of commonly packaged antecedent and consequence-based package components. Implications and future directions are discussed. En ligne : http://dx.doi.org/10.1007/s10803-019-04023-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 Stimulus Overselectivity in Typical Development: Implications for Teaching Children with Autism / Sarah R. REED in Journal of Autism and Developmental Disorders, 43-6 (June 2013)
[article]
Titre : Stimulus Overselectivity in Typical Development: Implications for Teaching Children with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Sarah R. REED, Auteur ; Aubyn C. STAHMER, Auteur ; Jessica SUHRHEINRICH, Auteur ; Laura SCHREIBMAN, Auteur Article en page(s) : p.1249-1257 Langues : Anglais (eng) Mots-clés : Development of conditional discriminations Overselectivity Behavioral treatment Pivotal response training Autism Index. décimale : PER Périodiques Résumé : Stimulus overselectivity is widely accepted as a stimulus control abnormality in autism spectrum disorders and subsets of other populations. Previous research has demonstrated a link between both chronological and mental age and overselectivity in typical development. However, the age at which children are developmentally ready to respond to discriminations involving simultaneous multiple cues has not been established. Thirty-seven typically developing preschoolers completed a task requiring response to simultaneous cues (color and shape) to establish the age at which typically developing children can successfully respond to multiple cues. Results demonstrate that typically developing children under 36 months of age have difficulty responding to multiple cues. Implications for behavioral treatment for autism are discussed. En ligne : http://dx.doi.org/10.1007/s10803-012-1658-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=201
in Journal of Autism and Developmental Disorders > 43-6 (June 2013) . - p.1249-1257[article] Stimulus Overselectivity in Typical Development: Implications for Teaching Children with Autism [Texte imprimé et/ou numérique] / Sarah R. REED, Auteur ; Aubyn C. STAHMER, Auteur ; Jessica SUHRHEINRICH, Auteur ; Laura SCHREIBMAN, Auteur . - p.1249-1257.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 43-6 (June 2013) . - p.1249-1257
Mots-clés : Development of conditional discriminations Overselectivity Behavioral treatment Pivotal response training Autism Index. décimale : PER Périodiques Résumé : Stimulus overselectivity is widely accepted as a stimulus control abnormality in autism spectrum disorders and subsets of other populations. Previous research has demonstrated a link between both chronological and mental age and overselectivity in typical development. However, the age at which children are developmentally ready to respond to discriminations involving simultaneous multiple cues has not been established. Thirty-seven typically developing preschoolers completed a task requiring response to simultaneous cues (color and shape) to establish the age at which typically developing children can successfully respond to multiple cues. Results demonstrate that typically developing children under 36 months of age have difficulty responding to multiple cues. Implications for behavioral treatment for autism are discussed. En ligne : http://dx.doi.org/10.1007/s10803-012-1658-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=201